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Individual

MRS. SHIRLEY KATHERINE BURKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
5401 SOUTH FM 1626, KYLE, TX 78640-0000
(512) 268-1940
(512) 268-5186
Mailing address
9 GREENWAY PLZ, SUITE 2950, HOUSTON, TX 77046-0905

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
662670
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167232102
TX
01
8N7088
BLUE CROSS BLUE SHIELD
TX
01
8Y4029
BCBS PVN
TX
Enumeration date
07/29/2005
Last updated
07/07/2009
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